Billing Specialist at Potomac Community Services

Hagerstown, Maryland, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Jun, 26

Salary

19.0

Posted On

26 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Billing Submission, Claims Processing, Documentation Accuracy, Error Tracking, Authorization Monitoring, File Maintenance, Billing Reports, Accounts Receivable, Patient Confidentiality, Insurance Checks, Administrative Duties, HIPAA Compliance, Payroll Assistance, Calendar Verification, Data Entry, Typing Skills

Industry

Mental Health Care

Description

Description A Little About Us: Potomac Community Services has been serving individuals with mental health needs in person and in community for almost 25 years! Literally meeting people where they are and working alongside them, has developed our passion for true, client led community work helping people achieve their goals and achieve sustainable independence. About the Job: Let's start by saying we want to hear from you! Below is an accurate description of the job for hire but with limited space, it isn't exhaustive. If you have questions about other considerations, please don't hesitate to contact us! The Billing Specialist (BS) is responsible for the daily submission of claims to insurance companies and third-party payers while ensuring accuracy in documentation and billing processes. This role involves working closely with case managers to track errors, making sure all necessary corrections are completed before processing. Additionally, the BS monitors client authorizations, maintains department files, and prepares monthly billing reports. The role also includes assisting with payroll, calendar verifications, and handling delinquent accounts receivable (i.e. missing tickets). The position requires maintaining patient confidentiality, providing support with insurance checks, tri-county travel, and performing administrative duties as required. This position requires a modified Monday through Friday schedule that may include evenings and weekends based on agency needs. The BS will work in compliance with programmatic, state, and federal regulations, as well as Potomac Community Services (PCS) policies and standards of practice. They will promote awareness of mental health issues, contributing to reducing the stigmatization of such conditions within the community. Typical Work Week Schedule Monday: 8:00 AM – 6:30 PM Tuesday–Thursday: 8:00 AM – 4:30 PM Friday: 8:00 AM – 2:30 PM Occasional schedule variations may be required based on workload and holiday needs. Pay: $16.75 - $19.00 ESSENTIAL DUTIES • Submit daily billing claims to insurance companies and other third-party payers. • Ensure the accuracy of documentation, including tickets and notes, within the billing system. • Follow up on case manager errors (ticket/calendar/note) and ensure corrections are made prior to billing. • Monitor client authorizations to ensure continued compliance with billing processes. • Maintain billing department files, ensuring documents are scanned monthly. • Prepare and distribute billing department reports, including the PCS Late Ticket Report and PCS Monthly Ticket Corrections Report. • Assist with unpaid claims and follow up on delinquent accounts receivables. • Ensure the confidentiality of all patient information in compliance with HIPAA and other relevant regulations. • Support Authorization and Insurance checks, if needed. • Provide administrative support, including scanning, faxing, electronic filing, and photocopying, ensuring the accuracy of all information. • Distribute messages, faxes, and other communication to appropriate staff. • Assist in special projects as directed by supervisor or designee. • Prepare correspondence, documents, and reports upon request by supervisor or designee. • BS must be able to work evenings or weekends to meet requirements for billing and payroll as needed due to holidays and PCS closures • Travel to all PCS offices as required to support billing operations. • Perform other related duties as assigned to enhance billing operations and departmental efficiency. CORE RESPONSIBILITIES • Learns PCS Core Values and demonstrate the application of these values through all areas of work. • Shares knowledge and resource information with coworkers and other PCS staff. • Acts as liaison for PCS with community agencies and other local mental health agencies and providers, promoting positive and effective communication. • Attends and participates in all scheduled monthly staff meetings. • Attends all PCS events and trainings as scheduled. • Safeguards the confidentiality of records in accordance with state and federal laws and regulations governing confidentiality. • Promotes PCS internally and externally in positive and professional manner. • Utilizes PCS resources and equipment appropriately and efficiently, including but not limited to PCS laptop, phone and vehicles. • Maintains good working relationship with other staff members/supervisors and contributes to positive work environment. • Maintains safe driving record and self-awareness for safety purposes. • Maintains confidentiality of staff, clients, and PCS business practices. • Adheres to all PCS published policies including but not limited to: Time & Attendance, (tardiness, absences) and Dress Code (including wearing company ID Badge). • Records time using the approved payroll system, completing calendar as required, in an accurate and timely manner. • Performs special projects and other duties as assigned. WORK ENVIRONMENT & PHYSICAL DEMANDS • Work Environment: This job operates in a professional office and community environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, and fax machines. In addition, familiarity with the Microsoft Office Suite, Outlook, and any additional programs or equipment used to execute specific tasks as required for the role. • Physical Demands: The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. The ability to sit, stand, walk, and climb are a requirement for this job. An employee must possess the ability to crawl, crouch, kneel, and stoop while performing job functions. Employees are required to occasionally lift and carry up to 25 pounds during the workday. Workers must be able to use their hands and arms for gross and fine -motor activities throughout the workday. Gross-motor activities include, but are not limited to, picking, pinching, and touching. Fine-motor activities include, but are not limited to, seizing, holding, grasping, and turning. Employees are required to be able to use fine and gross-motor skills concurrently. In addition, employees are required to work around individuals in the community where unfamiliar people are present, and movement may be restricted. PCS is an at-will employer, meaning that either the Company or Employee can end the relationship at any time and for any or no reason. Potomac Community Services supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals. We provide equal employment opportunities without regard to race, ethnicity, color, religion, sex, national origin, age, disability, marital/familial status, veteran status, sexual orientation, gender identity, gender. Requirements Education and Experience: High School diploma or equivalent (required) Data Entry and Medical Billing Experience or equivalent Medical Office Experience, 1-year experience is preferred Requirements: Valid Driver’s license, dependable transportation, current car registration and active car insurance. Maintains a safe driving record of at least 5 years prior to employment and self-awareness for safety purposes. Knowledge, Skills and Abilities: Proficient in Microsoft Office Suite Professional with excellent communication skills, written and verbal. Strong organizational and administrative skills, including but not limited to the ability to manage multiple tasks efficiently, attention to detail, competent typing skills, able to complete work in repetition Basic Understanding of COMAR regulations concerning mental health services and case management Knowledgeable regarding community resources related to mental health and case management.

Responsibilities

The Billing Specialist is primarily responsible for the daily submission of claims to insurance companies and third-party payers, ensuring documentation accuracy and following up on case manager errors. Core duties also involve monitoring client authorizations, maintaining department files, preparing monthly reports, and assisting with delinquent accounts receivable.